Girişimsel radyoloji ve anestezik yaklaşım

Gelişen teknoloji ile birlikte yaygın kullanım alanı bulan ve bir klinik branş kimliği kazanan girisimsel radyoloijde anestezistlerin işbirliği de gün geçtikçe artmaktadır. Girisimsel radyoloji kendi içinde viseral (non-vasküler) ve vasküler olarak ayrılmaktadır. Vasküler girisimsel radyoloji ise periferik ve serebral (nörogirişimsel) olguları içerir. Özellikle nöroradyolojik girişimlerin multidisipliner yapısı ve hızla ilerleyen tedavi modaliteleri ön plana çıkmaktadır. Bu alt disiplinler farklı anestezik hazırlık, monitörizasyon, sedasyon ve anestezi tekniklerini gerektirebilmektedir. Bu yazıda radyolojide anestezi ekiplerinin yardımını gerektiren farklı girişimler sınıflandırılarak, literatürde önerilen anestezi yaklaşımları yazarların deneyimleri doğrultusunda tartışılacaktır.

İnterventional radiology and anesthestic managment

Interventional radiology has expanded with new technology, becoming a clinical science, and demanding more time from anesthesiology teams. It can be classified as visceral (non-vascular) and vascular interventional radiology. Vascular interventions are further divided into peripheral and cerebral (neurointerventional) cases. Neurovascular intervention in particular has emerged as a rapidly evolving multidisciplinary science. Different interventions may require or necessitate different preparation, monitorization, sedation and anesthesia modalities. In this review, types of radiological interventions that require anesthesia assistance, as well as specific anesthetic approaches recommended for each one, are discussed.

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